- CenterWell (Portage, MI)
- …you to sit on-site at our Portage, MI branch location.** The **RN Clinical Manager ** coordinates and oversees all direct care patient services provided by ... Case Managers and clinical staff documentation to include starts-of- care , resumption-of-cares, and re-certifications, for appropriateness of care , delivery,… more
- Corewell Health (Byron Center, MI)
- About the Department: The care manager is responsible for a case load of 80-100 patients who are receiving home based primary care . Responsibilities ... 2 years of relevant experience clinical nursing and or case management/ managed care or related...(RN) - State of Michigan Upon Hire required + Case Manager , Certified (CCM) - CCMC Commission… more
- Amgen (Livonia, MI)
- …manage strong relationships with a range of stakeholders across the patient care ecosystem-including physicians, nurses, office staff, case managers, infusion ... stakeholders on disease state awareness and product information to support optimal patient care . As a SAM, you will drive product utilization while identifying and… more
- CDM Smith (Grand Rapids, MI)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- CVS Health (Lansing, MI)
- …Pharmacy Program Manager role includes: -Collaborate with an interdisciplinary care management team (nurse case managers, medical directors, dietitians, ... utilizing and navigating multiple software programs concurrently. **Preferred Qualifications** - Managed care experience -Advanced training (ie, Board-certified… more
- Highmark Health (Lansing, MI)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care ... **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides...in a clinical setting **Preferred** + 5 years in UM/CM/QA/ Managed Care + 1 year in advanced… more
- Integra Partners (Troy, MI)
- …license EXPERIENCE: + Minimum 3 years of nursing experience in acute, outpatient, or managed care setting. + Minimum 2 years of utilization management experience ... leadership duties, serving as both a mentor and performance manager for frontline staff. Salary: $75,000.00/Annually JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES...in a payer or managed care environment. + Strong understanding of… more
- Molina Healthcare (Detroit, MI)
- …years of experience in a pharmacy, Medication Therapy Management (MTM), Pharmacy Benefit Manager (PBM), and/or managed care setting, or equivalent combination ... Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care . **Essential Job… more
- Humana (Detroit, MI)
- …health issues. **Position Responsibilities:** + The Social Worker Field Care Manager will be responsible for managing a case load and completing ... community and help us put health first** The Field Care Manager , Behavioral Health 2 assesses and...coaching and wellness + Experience with Medicaid Long Term Care + Previous managed care … more
- Elevance Health (Dearborn, MI)
- …a minimum of associate's degree in nursing. + Requires a minimum of 4 years managed care experience and requires a minimum of 2 years clinical, utilization ... not be receiving appropriate type, level, or quality of care , eg, if services are not in line with...skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has… more
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